Organization
MRI SOLUTIONS IV LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MALONE (OPERATIONS MANAGER)
(405) 321-8125
Entity
Organization
Contact information
Practice address
230 CYPRESSWOOD DR, SUITE E, SPRING, TX 77388-6042
(469) 757-1000
Mailing address
PO BOX 21924, WACO, TX 76702-1924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0471DC
BCBSTX
TX
05
—
PENDING
—
TX
Enumeration date
03/27/2006
Last updated
08/13/2008
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